ICHS MEMBERSHIP APPLICATION
Membership extends from May 1 through April 30
Complete and send, along with your payment to:
IOWA COUNTY HISTORICAL SOCIETY, Millersburg, IA 52301
Name___________________________________________________________________
Mailing Address __________________________________________________________
City ______________________ State __________________ Zip ______________
_____ Individual @ $10 ______ Family @ $15 ______ Supporter @ $25